HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01-19-2018
Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FC 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Plumbing 1-1 111
I PROPOSED IMPROVEMENT LOCATION: III
Address: 10751 SOUTH OCEAN DR LOT B-15 JENSEN BEACH FL 34957
Legal Description: 11 37 41 FROM SW COR OF SEC 12-37-41 RUN N 89 DEG 55 MIN 14 SEC E ALG S SEC LI 774.41 FT TO CIL OF
A1A, TH N 23 DEG 49 MIN 31 SEC W ALG SD CIL 2921.33 FT, TH S66 DEG 10 MIN 29 SEC W 290.01 FT, TH N 87...
Property Tax ID #: 4511-311-0044-000-6
Site Plan Name: DIANE D SCHMIDT
Project Name: SCHMIDT
Setbacks
Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Drain and remove existing water heater in the outside Utility Closet. Supply and install new 30 gallon
Bradford White®` Residential upright tall electric Water Heater.
CONSTRUCTION INFORMATION:
CONTRACTOR:
Name DIANE D SCHMIDT
Name: JAMES MAGER
Itlona worK toe e Orme under
this permit —checka
appy:
Address: 2606 SE WILLOUGHBY BLVD
HVAC 11 Gas Tank
[]Gas Piping
_ Shutters
E]Windows/Doors
Electric 21Plumbing
Sprinklers
Generator
Roof Roof
pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 930.00
Utilities:
Sewer F Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DIANE D SCHMIDT
Name: JAMES MAGER
Address: 10751 SOUTH OCEAN DR LOT B-15
Company: PLUMBING BY BISHOP
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax:
Phone No.2032063787
Address: 2606 SE WILLOUGHBY BLVD
City: STUART State: FL
Zip Code: 34994 Fax: 7722861412
Phone No. 772-286-5872
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: INFO@PLUMBINGBYBISHOP.COM
State or County License: CFC -1429566
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender ora ore
commencing work or r ing your Notice of Commencement.�
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
Address:
_ Not Applicable
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Personally Known x OR Produced Identification
Address:
Type of Identification
City:
Zip: Phone:
Produced
City:
Zip: Phone:
(Signat re otary u, a I k CHERIANCHAN
N CHA7
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender ora ore
commencing work or r ing your Notice of Commencement.�
Rev. 8/2/17
Signature( of gwKer/ Lessee/Contractor as Agent for Owner
Signature o ctor/License Ho
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF—
COUNTY OF ---
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 19 day of JANUARY 20_ by
this 1e day Of JANUARY 20_ by
LUCINE KHATCHERIAN
LUCINE KHATCHERIAN
Name of person making statement
Name of person making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signat re otary u, a I k CHERIANCHAN
N CHA7
(Signature o otaryPub'
t.UCINE KHATCHERIAN CHAN
'P' MY COM N # F
Commission No. - IQ
,'tl�t
Commission No. MY CC�Bbtli�SION #FF992837
EXPIRES May 16, 2020
W EXPIRES May 18, 2020
(60 71 315-51 5 3 f1aNaNdarySM`Ice.cam
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17